Evidence map›Paper›PMID 30072390›Full record

ArticleThe oncologist2019

Role of Family Obligation Stress on Ugandan Women's Participation in Preventive Breast Health.

John R Scheel, Scott Parker, Daniel S Hippe, Donald L Patrick, Gertrude Nakigudde, Benjamin O Anderson, Julie R Gralow, Beti Thompson, Yamile Molina

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Moral distress among family caregivers of people with cancer in palliative care: A qualitative study.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

John R ScheelDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA jrs4yg@uw.edu.ORCID 0000-0002-0998-0098
Scott ParkerDepartment of Radiology, University of Utah, Salt Lake City, Utah, USA.
Daniel S HippeDepartment of Radiology, University of Washington, Seattle, Washington, USA.
Donald L PatrickSchool of Public Health, University of Washington, Seattle, Washington, USA.
Gertrude NakiguddeUganda Women's Cancer Support Organization (UWOCASO), Kampala, Uganda.
Benjamin O AndersonDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Julie R GralowDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Beti ThompsonDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Yamile MolinaCommunity Health Sciences Division, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.
Fred Hutch Cancer Center · USSeattle Cancer Care Alliance · USUniversity of Washington · USUganda Cancer Institute · UGUniversity of Illinois Chicago · USUniversity of Utah · US

Funding

Empowering Latinas to Obtain Breast Cancer ScreeningsK01CA193918 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MOLINA, YAMILE · 2016 to 2020
$729k
NCI NIH HHS K01 CA193918
6 · The paper itself

Abstract

backgroundThe purpose of this study is to determine the role of family obligation stress on Ugandan women's participation in preventive breast health through the receipt of breast cancer education and health check-ups. MATERIALS AND

methodsA validated survey was conducted on a community sample of Ugandan women, providing a multi-item scale to assess preventive breast-health-seeking behaviors and measure family obligation stress (FO; range 6-18). Univariate and multivariate linear regression was used to assess associations between sociodemographic factors and FO. Univariate and multivariate linear regression (used in conjunction with the robust sandwich estimator for standard errors) and probability differences (PDs) were used to evaluate associations between preventive breast-health-seeking behaviors, sociodemographic factors, and FO.

resultsA total of 401 Ugandan women ages 25-74 participated in the survey. Most had three or more children in the home (60%) and were employed full time (69%). Higher FO was associated with increasing number of children and/or adults in the household (

conclusionUgandan women with high FO are less likely to participate in preventive breast cancer detection efforts including breast cancer education and preventive health check-ups. Special efforts should be made to reach women with elevated FO, because it may be a risk factor for late-stage presentation among women who develop breast cancer. IMPLICATIONS FOR PRACTICE: High family obligation stress (FO) significantly reduces women's participation in preventive health check-ups and breast cancer education. These findings support research in U.S. Latinas showing high FO negatively affects women's health, suggesting that FO is an important factor in women's health-seeking behavior in other cultures. Addressing family obligation stress by including family members involved in decision-making is essential for improving breast cancer outcomes in low- and middle-income countries, such as Uganda.

Indexed as

Moral ObligationsAdultAgedBreast NeoplasmsDecision MakingFamilyFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansMass ScreeningMiddle AgedPatient Acceptance of Health CareRural PopulationSocioeconomic FactorsStress, PsychologicalBreast cancerEarly detectionFamily obligation stressPreventive careUganda

Identifiers

PMID30072390
PMCPMC6516124
OpenAlexW2887251483

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.